PMHP Overview Flashcards

1
Q

What is CPD?

A

Continuing professional development
- process of tracking and documenting skills, knowledge and experience that you gain formally and informally throughout career
- requirement by GDC
- supports dentists in maintaining and updating their skills

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2
Q

Give 3 suggested CPD topics:

A
  • Medical emergencies
  • Disinfection and decontamination
  • Radiography and radiation protection
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3
Q

What are the 7 components of clinical governance?

A

ACCESS R
- Clinical effectiveness and research
- Audit
- Risk management
- Education and training
- Service user, carer and public involvement
- Clinical information and IT
- Staffing and staff management

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4
Q

What are the 6 dimensions of healthcare quality?

A

Safe = avoiding harm to patients from the care that is intended to help them

Effective = Providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit

Patient centred = Providing care that is respectful of and responsive to individual patient preferences, needs and values

Timely = Reducing waits and sometimes harmful delays for both those who receive and those who give care

Efficient = Avoiding waste, including waste of equipment, supplies, ideas, and energy

Equitable = Providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status

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5
Q

Give 6 members of the dental team that have to be registered with the GDC?

A
  • Dentist
  • Dental nurse
  • Dental Hygienist
  • Dental Therapist
  • Orthodontic Therapist
  • Dental technicians
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6
Q

What is a clinical audit? What is it for?

A

Quality improvement process that seeks to improve patient care and outcome through systematic review of care against explicit criteria/standards and the implementation of change

Used to observe gaps in knowledge, learning, attitudes, protocols and training

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7
Q

What is the audit cycle?

A
  • Identify problem or issue
  • Set criteria and standards
  • Observe practise/data collection
  • Compare performance with criteria or standards
  • Implementing change & following up
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8
Q

What are the three divisions of NHS Scotland dental services?

A

Primary care = general dental practises
Public dental services = community services
Secondary care = hospital services

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9
Q

What are the four pillars of ethics?

A
  • Autonomy
  • Non-maleficence
  • Beneficence
  • Justice
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10
Q

What is negligence?

A

The omission to do something which a reasonable practitioner would do, or doing something which a reasonable practitioner would not do.

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11
Q

What is the criteria for clinical negligence?

A
  • Dentist owed a duty of care
  • Duty/standard of care was breached
  • Breach in care caused or contributed to damage/harm
  • Damage was reasonably foreseeable and had negative consequences and effects
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12
Q

What should notes be?

A

CCCC AL RR

  • confidential
  • complete
  • concise
  • current
  • accurate
  • legible
  • retrievable
  • retained
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13
Q

Who is on the GDC board?

A

12 members
- 6 registrants
- 6 lay members

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14
Q

What type of study provides the highest level of evidence?

A

Systematic reviews of randomised control trials (Cochrane reviews)

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15
Q

List 4 aspects of Systematic Reviews:

A
  • Specific and well formulated question
  • Inclusion and exclusion criteria
  • Multiple databases searched
  • Avoidance of bias
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16
Q

Give 3 study designs:

A

RCT = effectiveness and efficacy of treatments

Cohort = prospective study

Case control = retrospective study

Case study = one patient report

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17
Q

What is incidence?

A

Number of new disease cases developing over a specific period of time in a defined population

[number of new disease cases/number of population at risk]

18
Q

What is prevalence?

A

The number of disease cases in a population at a given time

[number of affected individuals/total number of people in population]

19
Q

What is SIMD?

A

Index/tool used to identify areas of deprivation/poverty/inequality in Scotland
- 1 most deprived
- 10 least deprived

20
Q

What 7 factors influence deprivation?

A
  • Employment status
  • Income
  • Crime
  • Housing, living, working conditions
  • Access to services
  • Health care services
  • Education, skills and training
21
Q

What are the principles of the Adults With Incapacity Act 2000?

A
  • Benefit of procedure
  • Minimum intervention [least restrictive option]
  • Take past and present wishes of adult into consideration
  • Consultation with adult and relevant others
  • Encourage adult to use/exercise residual capacity
22
Q

what is capacity?

A

Someone has capacity when they can:
- Act
- Make decision
- Communicate this decision
- Understand this decision
- Retain memory of decision

23
Q

Name 4 legislations for decontamination:

A
  • Health and Safety at Work Act
  • COSHH
  • SHTM 01-01
  • The Medical Device Directive 2007
24
Q

Give 4 factors in the aetiology of dental anxiety:

A
  • Previous adverse dental experiences
  • Influence of family members and friends
  • Social media influence
  • Poor understanding of dental procedures/techniques
25
Q

How may an anxious patient present?

A
  • High neuroticism
  • Low pain threshold
  • Negative expectations
  • Withdrawn, depressive, sweating
  • Upset/crying
26
Q

What is the cycle of behaviour change?

A
  • Pre-contemplation
  • Contemplation
  • Preparation
  • Action
  • Maintenance with progress/relapse at any stage
27
Q

Give 4 management techniques for anxious patients:

A
  • Desensitisation
  • Acclimitisation
  • CBT
  • Sedation
  • Distraction
28
Q

Give 4 examples of coping mechanisms of stress:

A
  • Exercise
  • CBT
  • Knowing personal limits
  • Good work/life balance
29
Q

What are the recommended allowances of alcohol intake for male and females?

A

14 units per week with at least 2 alcohol free days
- units spread over 3 days

30
Q

How do you offer smoking intervention?

A

Ask
Advise
Assist
Assess
Arrange

31
Q

What chemicals are used to clean a blood spill?

A

Sodium hypochlorite 10,000ppm

Sodium dichloroisocyanurate 10,000ppm

32
Q

What document is a GDP required to keep for waste disposal?

A

Consignment note for 3 years
- description
- destination
- quantity
- origin
- transport

33
Q

How long should notes be kept for?

A

Minimum 3 years but ideally 11 years or until age 25 for children

34
Q

What factors make up consent?

A
  • informed
  • valid
  • pt has capacity
  • voluntary
  • non-manipulated
  • non-coerced
35
Q

What are the stages of significant event analysis?

A
  1. Identify event
  2. Collect information
  3. Set meeting to discuss findings
  4. Meet & analyse
  5. Change & monitor
  6. Write up
  7. Seek external feedback
36
Q

What values regarding confidence intervals are important?

A

Risk Ratio
- If crosses 1 when comparing 2 risks then there is no difference and results are not significant

Absolute Risk Difference
- If crosses 0 when comparing 2 means then not significant

37
Q

What is a p-value?

A

Statistical significance of results, usually null hypothesis

<0.05 is significant

38
Q

What temperature, pressure and time is sterilisation carries out with?

A

134-137 degrees celcius

2.1-2.3 bar

3 minutes

39
Q

What is burnout?

A

Disengagement and exhaustion often associated with dissatisfaction and negativity

40
Q
A